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Madison Dental Group, PLLC — NPI 1760106199, Madison, MS | NPI Central

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NPI 1760106199

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Madison Dental Group, PLLC

NPI 1760106199 · Dental Clinic/Center · Madison, MS

Provider details

NPI number: 1760106199
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: William Fortenberry, Owner(601) 853-3565

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

7731 Old Canton Rd Ste a

Madison, MS 39110-6115

Phone: (601) 853-3565

Fax: (601) 853-3598

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 1547

Madison, MS 39130-1547

Other names (DBA / former)

Doing business as: Madison Dental Group
Other name: Madison Dental Group

Registry dates

Enumerated: 2022-09-29
Last updated: 2022-09-29
Certified: 2022-09-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.